I naupang tê chu he khawvelah hian a lo kal hma deuh em ni? Chutiang hunah chuan nu emaw pa emaw anga hlauhna tlem tal inhriat hi thil pangngai tak a ni. I naute thawk dan tur i ngaihtuah mai thei, a bik takin. Chuvangin, vawiin a thawk harsatna kan sawi tur chu ‘Apnea of Prematurity’ a ni a, chu chu naute piang hun hmaa piang, chu chu naupai kar 37 hmaa piangte zingah a thleng thei a ni. Lungngai suh, hei hi a tlangpuiin hun eng emaw chen atan a ni a, doctor-te pawhin hemi kawngah hian tanpui dan an hre chiang hle.
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Apnea of Prematurity tih hi eng nge ni?
A awlsam zawngin sawi ila, naute piang hmasa taksa peng hrang hrang, a bik takin thawk chhuahna tura puitu system te hi a la thang kim lo hle. Ngaihtuah teh, an lung te te, an thluaka thawkna hmun, heng zawng zawng hi ‘zir’ a la ni. Chuvangin, rhythm mumal taka thawk turin an la inpeih lo. Chumi avang chuan a chang chuan second tlemte chhung chu an thawk a tawp thin. Hei hi doctor-te’n ‘apneic spells’ an tih chu a ni.
He thu i hriat hian i hlauthawng mai thei, "Aw, ka naute hi a thaw tha lo em ni?" Mahse he natna hi naute piang hmasa zingah a awm fo thin. Tin, doctor-te pawhin enkawl dan an hre chiang hle bawk. I naute chu Neonatal Intensive Care Unit (NICU)-ah hun engemaw chen a awm ang. Chutah chuan doctor leh nurse-te chuan naute dinhmun hi an enfiah reng ang a, an thawk chhuah theih nan enkawlna an pe ang. I naute chu a mah chauha thawk pangngaia a thawh theih hunah, engmah tanpuina awm lovin, an haw thei tawh ang.
Hetiang natna lan chhuah dan hi engte nge ni?
Tunah chuan Apnea of Prematurity vei naute hian eng symptom nge a lantir theih tih hi han en ila:
- Thâwk hi second 15 emaw 20 emaw chhung a tawp tawh a, chu aia rei pawh a ni mai thei.
- Lung chakna a ti hniam. Hei hi ‘bradycardia’ kan ti a.
- Thisenah oxygen level a tlahniam. Hei hi hypoxemia an ti a. Hei hian naute vun, a bik takin hmui leh lei chu a sen, a var, sen-gray emaw, a sen emaw a tilang thei a ni. Hei hi cyanosis an ti a.
A châng chuan naute thawk chu second 15 aia rei lovah a reh thei. Mahse, heart rate slow (bradycardia) emaw oxygen level hniam (hypoxemia) emaw a awm chuan hei pawh hi he ‘apnea’ condition symptom anga ngaih a ni bawk.
Pawimawh: Hei hi ‘periodic breathing’ an tih dinhmun nen a danglam tur a ni. Periodic breathing chu naute hian an thawknaah chawlh rei vak lo (second 10 aia rei lo) an neih hian a ni. Mahse, hei hian heart rate leh oxygen level a ti tlahniam lo. Chumi hnuah chuan an thawk chak zawk. Hei hi thil pangngai anga ngaih a ni.
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Check Availability →Engvangin nge kan naute chungah hetiang hian a thlen? (Apnea of Prematurity awm chhan) 1.1.
Chutianga a awm chhan ber (Apnea of Prematurity) chu a hmaa kan sawi tawh ang khan naute thawkna kawng leh thluak thawkna hmun hi a la thang kim lo vang a ni. Heng peng pahnihte hian naute thaw tha thei turin an thawk dun a ni. Doctor-te chuan heng thawk chawlhnate hi a chhan a zirin chi thum-ah an ṭhen a:
- Obstructive Apnea tih hi a ni
- Central Apnea a ni
- Mixed Apnea ) a awm
Obstructive Apnea tih hi eng nge ni?
Hetianga thil thleng chu naute thawkna kawngkhar (obstruction) a awm a ni. Heng thawkna kawngte hian oxygen tamna boruak chu lung chhunga phur lut a, lung atanga carbon dioxide paih chhuaktu an ni. Chuvangin, boruak a luang tha tur chuan heng boruak kawng hi a inhawng a ngai a ni.
Mahse, nausen piang hmaa thawkna kawng (a bik takin a kawr atanga tlan chhuak) chu a chak tawk lo thei a, a inhawng reng thei bawk. Chutah chuan thawk a reh thei. Tube te tak te, a inhawng tha lo a, a tlakbuak ang mai a ni.
Central Apnea tih hi eng nge ni?
Hei hi naute thluaka thawkna control tu centre, brainstem-in a hun takah signal a thawn loh chuan a thleng thin. A tlangpuiin he thluak zung hian naute thawkna thau – entirnan, diaphragm leh intercostal thau te hnenah signal a thawn thin. Heng taksa pengte hian boruak chu lung chhunga luh leh chhuah tir turin a pui thin.
Mahse, naute thluak zung chu a la lo thang kim lo a nih chuan a atanga signal lo chhuak chu a mumal lo va, a rintlak lo hle. Chuvang chuan a laiah thawk a tawp thei a ni. Thluak atanga thupek "thâwk la!" a hun takah a paltlang lo.
Mixed Apnea tih hi eng nge ni?
Hetianga thil thleng chu naute thawk danah harsatna a awm a, thluak thawkna control center atanga signal lo lutte chu a kal tlang tha lo a ni. A chunga kan sawi chhan pahnih hi a inzawm khawm niin a lang. Hetiang apnea hi naute piang hmaa piang zingah hmuh tur a tam ber.
Doctor-te hian engtin nge hei hi an hriat?
He natna (Apnea of Prematurity) hi naute awmna Neonatal Intensive Care Unit (NICU)-ah hmuhchhuah a ni. Hei hi damdawi in chhunga naute enkawlna bik leh damdawi lam mamawh te dahna hmun a ni. I naute hi a hun hmaa piang a nih chuan a haw hmain NICU-ah rei tak a awm a ngai mai thei.
Naute NICU-a a awm lai hian doctor leh nurse-te chuan heng thilte hi an enfiah reng a ni:
- Lungphun na tak
- Thâwk lak dan tur
- Thisenah oxygen level a awm
Heng monitor te hian naute heart rate a hniam emaw, thawk a chawlh rei emaw chuan signal an thawn thin. Doctor-te chuan heng machine atanga data an hmuh leh nurse-te enfiahna hmangin natna hi an hre thei a ni.
A châng chuan, nau piang tharte thawk chhuah lohte hi damdawi lam thil dang chhinchhiahna a ni thei bawk. Entirnan, metabolic disorder, thluaka thisen chhuak, leh infection te. Chuvangin, doctor-te chuan naute chu an enfiah hmasa a, heng ang damdawi lam harsatna dang a awm em tih an enfiah hmasa thin. A chhan dang zawng zawng an paih chhuah hnuah chauh hian hei hi Apnea of Prematurity a ni tih chiang takin an hre thei ang.
Apnea of Prematurity tih hi naute chu a hun hmaa piang a nih avangin thawk a tawp a, an nervous leh respiratory system pawh a la thang kim lo tihna a ni. Chuvangin, an taksain heng thilte hi a mah chauha a tih theih hma chuan thawk turin tanpuina tlem an mamawh a ni.
Hei hi eng enkawl dan nge ni ang?
Apnea of Prematurity enkawlna hi a tlangpuiin a hnuaia mi pakhat emaw, a pahnih emaw hi a ni:
- Damdawi (a tam zawkah chuan caffeine citrate) .
- Thâwk chhuah ṭanpui
Engvangin nge he thilah hian caffeine hi an dah tel?
Caffeine citrate hi Apnea of Prematurity enkawlna atana hman thin a ni a, a damdawi hman thin a ni. Zing lama coffee kan in hian kan jolt ang bawkin he damdawi hian naute nervous system a tichak a ni. He ‘harh-na’ hian naute thluak thawkna hmun leh nerve cell-te chu thawk dan tur tidanglamtu signal a thawn chhuak thei a ni.
He caffeine pill hian naute hian apneic spell a neih zat a ti tlem a ni. Tin, thawk laknaah heng chawlh hahdam hun chhung hi a ti tlem thei bawk.
Thâwkna Support
A chang chuan naute thawkna kawng chunglam, pharynx leh larynx te hian a inhawng reng theih nan tanpuina tlem a mamawh thin. Hetiang a nih chuan doctor-te chuan Continuous Positive Airway Pressure (CPAP) tih dan an hmang fo thin. Hemiah hian naute chu a mah chauhin a thaw chhuak thin. Mahse, naute hnar kawngkhar chhunga dah tube te tak te pahnih hmangin boruak a thawn chhuak thin. Hei hian thawkna kawngkhar (airway blockage) avanga thawkna lama harsatna (respiratory arrest) awm theihna a ti tlem a ni.
Ngaihtuah teh, balloon te tak te chhunga boruak tlem i vawrh luh chuan a inflate ang maiin a lang a, he CPAP hian boruak kawng chu a inhawng reng thei a ni.
I naute hian thawk lama harsatna nasa tak a neih chhunzawm zel chuan ‘mechanical ventilation’ a mamawh mai thei. Chumi awmzia chu machine (ventilator) chuan naute taksain a mah chauha thawk a thawh theih hma loh chuan naute thaw chu a thawk dawn tihna a ni. Hei hi hun rei lote chhung chauh a ni.
Ka naute hian hetiang dinhmun hi a nei a nih chuan eng nge ka beisei ang?
Apnea of Prematurity hi hun eng emaw chen atana awm thin a ni . Naute a lo seilian leh a lo thanglian zel chuan heng symptoms te hi a tlahniam zauh zauh ang. I naute chu kar engemaw zat NICU-ah a awm a ngai mai thei a, thla hnih atanga thla thum chhung pawh a awm a ngai mai thei. Chutah chuan thawk lama harsatna chauh ni lovin, a hun hmaa a pian avanga harsatna dang lo awm thei zawng zawngte pawh enkawl a ni ang.
Doctor-te chuan naute chu NICU-ah eng chen nge a awm a ngaih dawn tih leh him taka naute in lama hruai haw theihna tura thil thleng tur te an hrilh ang che.
A tlangpuiin doctor ten naute enkawlna tihtawp hun him tur an ruat ang. Tichuan, enkawlna an chawlhsan hnuah naute taksain a chhân lêt dân an en ang. Naute chu in lama an haw hma chuan thawk lama harsatna awm lovin ni engemaw zat an awm a ngai dawn a ni. He "observation period" rei zawng hi naute a pian hma zia leh an hriselna zawng zawngah a innghat ang.
Naute tam zawk hi an haw hnuah pawh enkawl chhunzawm an ngai lo. Mahse, i naute hian enkawl a ngai tak tak a nih chuan i doctor chuan a tih tur dik tak a hrilhfiah ang. I hriat chian loh thil a awm emaw, in lama i naute enkawl chungchangah ngaihtuahna i neih chuan i doctor emaw, nurse emaw zawt ngei ang che. He boruak thar hi i hman thiam theih nan i mamawh zawng zawng an pe ang che.
Apnea of Prematurity hi naute piang hmasa te zingah chuan a awm fo thin. Amaherawhchu, thil awmdan pangngai a ni tih hriain, nausen piang thar chu chelh duh huna hla taka awm chu thil awlsam a ni lo. I naute NICU-a a awm chhung hian i rilru a hah hle ang a, i lungngai hle ang. Mahse, hei hi hun eng emaw chen atan a ni tih hre reng ang che.
NICU-a doctor leh nurse-te chuan he hun chhung hian i naute nena hun hman dan tur zawngin an pui ang che. Tin, i naute thawk dan a lo than chhoh dan leh engtikah nge i naute chu in lama hruai theih i beisei theih tih te pawh an hrilh bawk ang che.
💡 Thupui tawi (Take-Home Message) angin hre reng ang che.
I naute piang hma chuan apnea of prematurity a neih chuan a hlauhawm hle thei. Mahse, khawngaihin hre reng ang che:
- Hei hi hun eng emaw chen atan a ni tlangpui. Naute a lo seilian chhoh zel chuan a thawkna kawng pawh a chak chho zel bawk.
- Hei hi Doctor ten enkawl dan an hre chiang hle. I naute hian NICU-ah enkawlna tha ber a dawng ang.
- Nangmah chauh i ni lo. Doctor leh nurse chauh ni lo, hetiang thil tawn nei nu leh pa dang pawh an awm. I rilru put hmang sawi hreh suh la, tanpuina dil bawk ang che.
- Beiseina vawng reng rawh. Nang pawhin ni engemaw zat hnuah i naute nen in lama haw theihna hun i nei ang.
I naute chu a dam thuai theih nan duhsakna hlanin!
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